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Story perspectives

Health Insurance Premiums Surge: Small Businesses Face Tough Choices

11/6/2025

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Story summary
  • Small-business health insurance premiums will rise next year, increasing costs.
  • John Cleveland, a barbershop owner in Austin, Texas, expects his premium to rise from $560 to $682.
  • He fears some employees may forgo coverage due to higher costs.
  • GOP pollsters warn that not extending enhanced ACA subsidies could leave 4 million uninsured and raise premiums by 75%.
  • Nearly 60% of ACA enrollees live in Republican districts, prompting reconsideration of subsidies.